Columbus Neighborhood Health Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Columbus, OH
NPI 1497817142 · NPPES record last updated Aug 28, 2026
Key facts
- NPI
- 1497817142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
- Practice address
- 2300 W Broad St
Columbus, OH 43204-3783 - Phone
- (614) 645-2300
- Fax
- (614) 645-2333
- NPI assigned
- Dec 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
Authorized official
- Name
- Johnetta Ridgeway
- Title
- Provider Enrollment Coordinator
- Phone
- (614) 859-1906
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 7
Practitioners 119
-
Preeti Agrawal, MD
-
Nicole Baughman, LISW
-
Rachel Bishop, LISW
-
Karen Brackbill, APRN-CNM
-
Shui-Chu Lee Chou, CNP
-
Bryan N Feldman, D.O.
-
Alfredo Lopez Figueroa, D.O.
-
Lindora Sue Hubel, CNP
-
Christina Simone Hunley, APRN
-
Daniela E. Jipa, M.D.
-
Heather M Lake, DO
-
Divya Manda, M.D.
-
Aaron Shea Meadows, APRN, FNP-C
-
Duncan Mwangi, CNP
-
Katherine Niles, RN, CNP, WHNP-BC
-
Kelly L Nungesser, CNP
-
Dennis J Pierson, M.D.
-
Emily Pissocra, LISW
-
Danilo Polonia, MD
-
Angel F Spencer, CNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0328844 | Columbus Neighborhood Health | Provider-performed microscopy | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Federally qualified health center certification: CCN 361871
- Legal name
- COLUMBUS NEIGHBORHOOD HEALTH CENTER INC
- Doing business as
- PRIMARYONE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1998
- Last certification
- Jan 1, 1998
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2300 West Broad Street
Columbus, OH 43204-3783
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Nichole Otayco |
Corporate Officer |
Dec 10, 2024 | |
| Jennifer Beard |
Corporate Director |
Feb 22, 2022 | |
| Liza Paul |
Corporate Director |
Jun 17, 2024 | |
| Johnetta Ridgeway |
W-2 Managing Employee |
Feb 22, 2022 | |
| Caitlin Purk |
Corporate Director |
Jun 14, 2024 | |
| Eric Wu |
Corporate Director |
Jun 14, 2024 | |
| Ephraim Laidley |
Corporate Director |
Jun 14, 2024 | |
| Emily Fisher |
Corporate Director |
Feb 22, 2022 | |
| Robert Weis |
Corporate Director |
Dec 10, 2024 | |
| Dustin McKee |
Corporate Director |
Feb 22, 2022 | |
| Adrian Fredrick |
Corporate Director |
Jun 14, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110713000867 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 3678469129 | Practice locations: Columbus, OH |
| O20140721000618 | OH | Part B Supplier - Clinic/Group Practice | 3678469129 |
Receives reassigned benefits from 120 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, OH; Circleville, OH |
National Provider Directory
- Tax ID family
- CNHC St Marks Health CT
Locations
1751 Alum Creek Dr
Columbus, OH 43207
Phone (614) 526-5420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2300 W Broad St
Columbus, OH 43204-3783
Mailing address
3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone (614) 859-1906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36D0328844 | Other | OH | CLIA |
| 2051176 | Medicaid | OH |
Other names
- PrimaryOne Health
Other providers in Columbus, OH
- Columbus Medical Center of Ohio, LLC
- Columbus Medical Center, LLC
- Columbus Medical Equipment
- Columbus Medical Gastroenterology
- Columbus Neighborhood Health Center Inc
- Columbus Neighborhood Health Center Inc
- Columbus Neighborhood Health Center Inc
- Columbus Neighborhood Health Center Inc
- Columbus Neighborhood Health Center Inc
- Columbus Neighborhood Health Center, Inc.
All providers in Columbus, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.